Individual provider · Type 1 NPI

Earnest Gildon, LMT

Massage Therapist · Brookline, MA

NPI number 1326404906 Active

Practice location

5 Park Vale, Apt 4C
Brookline, MA 02446-6228

Call (617) 596-3429 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-10217-MT (MA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1326404906

Earnest Gildon, LMT's National Provider Identifier is 1326404906, issued on Jan 12, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brookline, MA. The record was last updated on Jan 12, 2016.